Counseling Methods for Family report

TRAINER'S GUIDE

Training in Basic Counseling Methods for Family Case Managers

A short course in the fundamentals of home-based counseling for those who provide care to children and families living with and affected by HIV

TRAINER'S GUIDE

Training in Basic Counseling Methods for Family Case Managers

A short course in the fundamentals of home-based counseling for those who provide care to children and families living with and affected by HIV

Training in Basic Counseling Methods for Family Case Managers: Trainer's Guide

? 2012 by FHI 360/India

ISBN: 1-933702-84-2 Suggested citation: Training in Basic Counseling Methods for Family Case Managers: Trainer's Guide. New Delhi: FHI 360/India; 2012

Disclaimer:

This publication is funded by the Children's Investment Fund Foundation (CIFF), UK. The contents are the sole responsibility of FHI 360 and do not necessarily reflect the views of CIFF.

Credits:

Content : Devika Gali Choudhary, FHI 360/India Editing : Deborah McGill, FHI 360/North Carolina Design : MKM Creatives, New Delhi Photo : D. Srinivas (CHAI) and Berly Goldberg (FHI 360)

All photos are courtesy Clinton Health Access Initiative (CHAI) and FHI 360

FHI 360/India H-5, Green Park Extension (Ground Floor) New Delhi ? 110 016 India

Tel : 0091.11.4048.7777 Fax : 0091.11.2617.2646 Email : fhiindia@ Website :

FHI 360 P.O. Box 13950 Research Triangle Park, NC 27709 USA

Tel : 919.544.7040 Fax : 919.544.7261 Email : publications@ Website :

Contents

Trainer's Guide

Foreword .................................................................................................................... v Preface...................................................................................................................... vi Introduction ............................................................................................................... 1 Notes for Trainers......................................................................................................... 2 Sample Training Schedule .............................................................................................. 7 Pretest/Post-test ....................................................................................................... 10

Session 1: Registration, introduction and ground rules................................................ 13 Basics of Counseling ....................................................................................................17

Session 2: Introduction to counseling ...................................................................... 18 Session 3: Counseling skills.................................................................................... 21 Session 4: Phases of the counseling process .............................................................. 27 Session 5: Ethics in counseling ............................................................................... 28 Counseling Children .................................................................................................... 31 Session 6: Aligning counseling with a child's developmental stage ................................ 32 Session 7: Using interactive communication strategies with children.............................. 34 Session 8: Addressing the special counseling needs of children affected by HIV ................ 36

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Counseling Adults ...................................................................................................... 39 Session 9: Developing a memory book ...................................................................... 40 Session 10: Addressing the special counseling needs of adults ...................................... 41

Ensuring the Quality of Counseling ................................................................................ 43 Session 11: Documenting the counseling process ....................................................... 44 Session 12: Supervising the counseling process ......................................................... 46 Session 13: Managing stress and burnout ................................................................. 48 Session 14: Learning by doing ................................................................................ 50 Session 15: Closing the training program .................................................................. 53

Pretest/Post-test Answer Key ....................................................................................... 55 Energizers ................................................................................................................ 57 Sample Training Evaluation Form .................................................................................. 59 References ............................................................................................................... 61

Handouts for Trainers and Participants

63

Section 2: Introduction to counseling ............................................................................ 64

2.1: What is counseling? ....................................................................................... 64 2.2: Focuses of effective counseling ........................................................................ 65

Session 3: Counseling skills ......................................................................................... 66 3.1: Counseling skills ........................................................................................... 66 3.2: How to listen ................................................................................................ 70 3.3: Types of questions ......................................................................................... 72 3.4: Worksheet on open and closed questions ........................................................... 75 ii

Session 4: Phases of the counseling process .................................................................... 76 4.1: Phases of the counseling session ...................................................................... 76 4.2: What to avoid in counseling ............................................................................. 80

Session 6: Aligning counseling with a child's developmental stage ...................................... 84 6.1: Principles of child counseling .......................................................................... 84 6.2: Aligning counseling with a child's developmental stage ........................................ 85 6.3: Developmental milestones key to counseling children .......................................... 86 6.4: Building rapport with children ......................................................................... 89

Session 7: Using interactive communication strategies with children ................................... 90 7.1: Benefits of using interactive communication strategies with children ...................... 90 7.2: Interactive communication strategies for use with children .................................... 91

Session 8: Addressing the special counseling needs of children affected by HIV ..................... 95 8.1: Obtaining a child's consent for HIV testing ......................................................... 95 8.2: Preparing a child for antiretroviral therapy ......................................................... 97 8.3: Helping the child of a sick parent to cope ........................................................... 99 8.4: Preparing for and dealing with the death of a parent .......................................... 101 8.5: Coping with the stigma of HIV ........................................................................ 103 8.6: Disclosing a child's positive HIV status ............................................................ 105 8.7: Child abuse ................................................................................................. 108

Session 9: Developing a memory book .......................................................................... 110 9.1: The value of a memory book ........................................................................... 110

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Session 10: Addressing the special counseling needs of adults .......................................... 111

10.1: Counseling adults about HIV testing ............................................................... 111 10.2: Counseling adults about disclosing their status ................................................ 113 10.3: Counseling adults about adherence to antiretroviral therapy .............................. 114 10.4: End-of-life care .......................................................................................... 118

Session 11: Documenting the counseling process ........................................................... 120

11.1: Sample case report form to document counseling sessions ................................. 120

Session 12: Supervising the counseling process ............................................................. 123

12.1: Goals for the supervision of counselors ........................................................... 123 12.2: What supervisors of counselors should not do .................................................. 124 12.3: Responsibilities of the counseling supervisor and the counselor .......................... 125

Session 13: Managing stress and burnout ..................................................................... 127

13.1: Differences between stress and burnout ......................................................... 127 13.2: Strategies for managing stress ..................................................................... 128 13.3: Strategies for managing stress ..................................................................... 130

Session 15: Closing the training program ...................................................................... 131

15.1: Pretest/post-test ....................................................................................... 131

Content for Supplementary PowerPoint Slides

133

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